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General NPI Number Information
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NPI Number | 1912437138
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Entity Type | Individual
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Provider Name | GREGORY S KEELER LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 1408 S CAMINO REAL
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City | PALM SPRINGS
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State | CA
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Zip | 92264-8834
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Country | US
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Telephone | 323-409-8324
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 707
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City | PALM SPRINGS
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State | CA
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Zip | 92263-0707
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Country | US
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Telephone | 818-737-4802
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19809
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License Number State | CA
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